KATHLEEN T BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041126609

License Status

NOT RENEWED

Business

First Name

KATHLEEN T

Last Name

BLACK

Business Name

KATHLEEN T BLACK

Original Issue Date

08/23/1968

Effective Date

05/26/2016

Expiration Date

05/31/2018

City

PALOS PARK

State

Zip

60464

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2018